Summary for Test 2022-03-22-29-8
Test performed: CTM 213-December 2012Project Information
| Project Identifiers | Project ID: 66666 DEA: APP EFIS: 0019000052 |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680. |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 03/22/2022 | Sample Unique Key | 29 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 05/31/2022 |
| Sample type | Aggregate Prequalification Program | A brief description of the sample | Washed Concrete Sand |
| The quantity of what the sample constitutes | Three 50 pound samples | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Kyle | Last name of sampler or witnessed by | Portlock |
| Title of sampler | QC Field Technician | Telephone number of sampler | 6195929623 |
| Laboratory sample identification | Linked DIME Sample ID | 2022-03-22-3 | |
| The fabricator/manufacturer/facility name | Penmex Group | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | SMARA EXEMPT |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | WCS | The fabricator/manufacturer designation for the sample | |
| The plant number | A detailed description of where the material sample was collected | Stockpile | |
| Where the material sample would have been placed if not sampled | In ready mix concrete | Primary Aggregate Nominal Size | fine |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | Not set |
Test Details
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DIME Sample ID: 2022-03-22-29
DIME Test ID: 2022-03-22-29-8
Testing Lab: CT D08 - Fontana Southern Regional Laboratory
Test Method: CTM 213-December 2012: Method of Test for Organic Impurities in Concrete Sand
Test Release Date: 2022-06-21
Test Results
Input Type: Calculated
Tester's full name: Satish Jain
Date of test: 06/16/2022
Is the sample satisfactory or not?: Yes
Does debris exist: No
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 6/21/2022 ✔